| NPI | 1720548035 |
|---|---|
| Doing Business As | BSD- BEHAVIORAL HEALTH TRAILS |
| Entity Type | Organization |
| Authorized Contact | RONALD LEE OLSON Executive Vice President Finance 907-729-4939 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2024-04-19 |